This pregnant patient presents with vaginal bleeding in the first trimester. DDX includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. Patient is HDS and without a history of coagulopathy or infectious symptoms. Doubt alternate acute emergent pathology.
Plan: bHCG, +/- basic labs, type and screen, TVUS, reassess
You have been evaluated in the UCLA Emergency Department today for your vaginal bleeding. Your evaluation suggests that your symptoms are due to ***. Your ultrasound showed ***.
Please follow up with your primary care physician within two days.
***Please follow up with your OB/Gyn within 2 days.
Return to the Emergency Department if you experience worsening or uncontrolled bleeding, shortness of breath, feeling lightheaded, chest tightness, abdominal cramping, severe abdominal pain, fevers,vomiting, or for any other concerning symptoms.
Thank you for choosing us for your care.
EM DOT PHRASES 